Fluxometria umbilical na gravidez gemelar. Um método de identificação de crescimento fetal discordante?

Abstract

Umbilical artery velocimetry was performed in 33 twin gestations to evaluate the predictivity of the test (umbilical artery S/D difference between the pair > 0.4) in the screening of discordant fetal growth. Four out of 10 cases of discordant fetal growth were identified by the test and it was abnormal in 1 out of 23 concordant twins. The sensitivity was 40%, specificity 95%, positive predictive value 80% and negative predictive value of 79%. In spite of its low sensitivity the test can be useful in detecting discordant fetal growth in twin pregnancies.